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�` �U POSTING � ' o 'ss' ---- <br /> Application 5or <br /> � PUBLIC WORKS PERMIT Date 11/28/95 �- <br /> PUBLIC WORKS D�TMENT Public Works Permit A ��-7-� <br /> 3200 Cedar � <br /> Everett,WA98201 p259-8810 <br /> � BuildingPertnitM_ SO1G8 <br /> TYPE OR PRINT ONLY r n � $ � S N S � $ � v, <br /> n �i c� o.p d [o�� rn o P�li�k�5.fee$T�� <br /> "� `MO N N N �p « ii 1 [� p. M �Y <br /> y� M (J N.� .-r <br /> ROGER OLIN CONST. PO BOX 3216 F:VE�T1� 93203 337s�7b'2?,� « '" „"�i <br /> Owner Malling Address�p � r--- <br /> � � �p� � Phone <br /> '8 x�`� 8 (5 " � � � <br /> OWNER � `� � c� t� � <br /> Applicant � � � � � � � � � � � u� �5 � <br /> Mailing Adtlress City 2ip Phone <br /> Describe Proposed Work NEW HOUSE — BASIC 1144 <br /> W <br /> N <br /> - <br /> PROJEC"'ADDRESS(if known) � R x���+,� � <br /> Attach four(4)copies at plans for proposed work-Draw to scale and note the following if applicable: m <br /> •Property Lines �Outline and tlimensions ot ali existing and prcposed structures on the lot �6cisting and pmposed utilities O <br /> `Centerline ol street ■Indicate North •Show any proposed gratling ch:.nges 5how measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and O <br /> , Construction Standards�id Specifications. <br /> 3. Call Location Undergrounc:Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555, <br /> � <br /> - Drivewxy �luwu�lope inu.l begin a miuimiwi ofG f�al fi:ut oflhe edgr. ofpxvement in E fiavier Wa � <br /> ,md fhe slope may not excced 20'"a Consh-uct vertical cun�es at fop :u�d bottom ofihe ciriveway su O <br /> thaf � car wi)I not drar on pavemenL � <br /> b( i �� <br /> ��Y-�C/ /�/�/ ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned owner/applicant hereby agrees ta hold antl save harmless <br /> the City of Everett from any and all claims lor damages,costs,expenses,or <br /> Approv or Consiruction pa � �^ causes of action that may arise because of installation and maintenance of <br /> the improvement or other nght-of-way use hereto applicd}or and furtheragrees <br /> � to remove same upon notice Irom the City ard to replace pu6lic property <br /> damaged thereby. <br /> ' L INSPECTIO ate <br /> Approved as Constructed n <br /> �' /% �' <br /> ��y�m� reof ica� � Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARI�EO WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT h.:�Y BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />